Individual
STEPHANIE ALEXANDRIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101-3006
(336) 713-9800
Mailing address
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101-3006
(336) 713-9800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023730
NC
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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